Case Management Specialist (US Healthcare Insurance) | Hybrid at ISTA Solutions Inc

Manila, National Capital District, Philippines -

Full Time

Start Date

Immediate

Expiry Date

02 Aug, 26

Salary

0.0

Posted On

04 May, 26

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Case management, Medical records review, Authorization, Claims processing, Denials and appeals, Medical terminology, Medicare, Medicaid, Patient assessment, Healthcare planning, MS Office, Verbal communication, Written communication, Work management

Industry

Outsourcing and Offshoring Consulting

Description

ISTA Solutions, an outsourcing/offshoring company, is in search of an experienced Case Management Specialist to join our rapidly expanding team. As a member of our team, you will have the opportunity to work with highly skilled professionals, who prioritize employee satisfaction and work-life balance. At ISTA Solutions, we pride ourselves on creating a culture focused on long-term success and life-long learning. We're looking for a team player who is ready to contribute to our mission, just like you! Responsibilities: Conduct initial assessments of patients' medical conditions, care needs, and treatment goals. Develop Healthcare plans tailored to each patient's requirements. Administer medications, treatments, and medical procedures as prescribed by healthcare providers. Monitor vital signs and assist with wound care, IV therapy, or other medical interventions. Maintain accurate and up-to-date patient records, documenting care provided, changes in condition, and any incidents or concerns. coordinates with US insurance providers Graduate of Medical Allied Courses Basic knowledge about Medicare and Medicaid 1 year BPO Healthcare Experience related to reviewing medical records, authorization,claims, denials and appeals Familiar with common medical terminologies Good English verbal and written skills Good work management skills Familiar with common medical terms Familiar with MS Office Tools and applications What can we offer you? Competitive salary and benefits Health Insurance with free dependents* 10%-night differential Attendance Bonus Paid time off Convertible to cash leave credits Performance Appraisal Work-life balance A focus on growing your career path with us We encourage you to follow your passions and learn new skills Our commitment to you Strong culture and values-driven leadership We create opportunities for you to learn and grow at any stage of your career Continuous learning and innovation We foster an all inclusive environment where everyone thrives

Responsibilities

The Case Management Specialist will conduct initial patient assessments, develop tailored healthcare plans, and administer prescribed treatments. They are also responsible for maintaining accurate patient records and coordinating care with US insurance providers.